PATRICK O'BRIEN (Credential# 1383505) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
PATRICK O'BRIEN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.003724. The credential type is physician assistant. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 747 Amostown Rd, West Springfield, MA 01089-4302. The current status is active.
Licensee Name | PATRICK O'BRIEN |
Credential ID | 1383505 |
Credential Number | 23.003724 |
Credential Type | Physician Assistant |
Business Address |
747 Amostown Rd West Springfield MA 01089-4302 |
Business Type | INDIVIDUAL |
Status | ACTIVE - CURRENT |
Active | 1 |
Issue Date | 2016-10-28 |
Effective Date | 2020-04-01 |
Expiration Date | 2021-03-31 |
Refresh Date | 2020-01-13 |
ID | Credential Code | Credential Type | Issue | Term | Status |
---|---|---|---|---|---|
1387038 | CSP.0064285 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 2016-11-01 | 2019-03-01 - 2021-02-28 | ACTIVE |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Patrick O'brien | 43 Edwards Rd, Bethany, CT 06524-3025 | Electrical Limited Journeyperson | 2015-10-01 ~ 2016-09-30 |
Street Address | 747 AMOSTOWN RD |
City | WEST SPRINGFIELD |
State | MA |
Zip Code | 01089-4302 |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Darlene A Kurman | 158 Edgewood Rd, W Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
Jessica Marquez | 758 Westfield St, West Springfield, MA 01089 | Licensed Clinical Social Worker | ~ |
Jody L Russell | 121 Greenleaf Ave, West Springfield, MA 01089 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
Katherine Zemanek | 81 Braintree Road, West Springfield, MA 01089 | Registered Nurse | 2020-08-01 ~ 2021-07-31 |
John Calabrese | 64 High Meadow Dr, West Springfield, MA 01089 | Dentist | ~ |
Mary Christine Matias | 24 Appaloosa Lane, West Springfield, MA 01089 | Licensed Practical Nurse | ~ |
Elizabeth A Favreau | 21 Hummingbird Lane, West Springfield, MA 01089 | Registered Nurse | 2020-09-01 ~ 2021-08-31 |
James M Hanifan | 90 Bayberry Ln, W Springfield, MA 01089 | Architect | 2020-08-01 ~ 2021-07-31 |
Katie Marie Sniegowski | 22 Garden St, West Springfield, MA 01089 | Registered Nurse - Temporary | 2020-02-05 ~ 2020-06-04 |
Surgi-care Inc | 150 Doty Cir, West Springfield, MA 01089 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2020-07-01 ~ 2021-06-30 |
Find all Licenses in zip 01089 |
City | WEST SPRINGFIELD |
Zip Code | 01089 |
License Type | Physician Assistant |
License Type + County | Physician Assistant + WEST SPRINGFIELD |
Licensee Name | Office Address | Credential | Effective / Expiration |
---|---|---|---|
Kaitlyn E O'brien | 67 Magnolia Ave, Norwalk, CT 06850-3634 | Physician Assistant | 2020-06-01 ~ 2021-05-31 |
Kathy O'brien Pa-c | 106 Foxboro Dr, Norwalk, CT 06851-1147 | Physician Assistant | 2019-03-01 ~ 2020-02-29 |
Michelle C O'brien | 2123 W Schiller St Apt 2f, Chicago, IL 60622-8829 | Physician Assistant | 2016-09-01 ~ 2017-08-31 |
Scott M O'brien | 426 Barber Hill Rd, South Windsor, CT 06074-1628 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Patrick G Addo | 6910 Jessica Pl, Fontana, CA 92336-5050 | Physician Assistant | ~ |
Leo Patrick Caamano | 721 Westchester Ave, Rye Brook, NY 10573 | Physician Assistant | 2020-02-01 ~ 2021-01-31 |
Patrick Lafond Pa | 9 Oak Lane, Westfield, MA 01085 | Physician Assistant | 2002-11-26 ~ 2003-12-31 |
Patrick J Cullen Pa | 1 Shaws Cove, New London, CT 06320 | Physician Assistant | 2020-05-01 ~ 2021-04-30 |
Patrick Cosgrove Pa | 350 Chatey Road, Ashford, CT 06278 | Physician Assistant | 2020-09-01 ~ 2021-08-31 |
Patrick Deegan Pa | 111 Founders Plz Ste 400, East Hartford, CT 06108-3240 | Physician Assistant | 2020-04-01 ~ 2021-03-31 |
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Data Provider | Connecticut Department of Consumer Protection |
Jurisdiction | Connecticut |
Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).